Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC DX MAMMO INCL CAD UNI
Low
$82
Average
$124
Median
$88
High
$302
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 2.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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13 hospital rates
iThe hospitals that file a WellCare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 3 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 4 | MaineHealth Brunswick, ME fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 5 | MaineHealth Rockport, ME fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 6 | MaineHealth Damariscotta, ME percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 7 | MaineHealth North Conway, NH percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 8 | MaineHealth Belfast, ME percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 9 | MaineHealth Farmington, ME percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 10 | MaineHealth Portland, ME fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 11 | MaineHealth Biddeford, ME fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 12 | MaineHealth Norway, ME percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 13 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $224 | $206 | $24 | 12% | — | $172 – $224 |
← Payers reporting HCPCS G0206 · Snapshot 20261111T120946Z-9134e7f7